HomeMy WebLinkAboutSign Permit 08-024 - Wireless Depot tempCity of Prior Lake
SIGN PERMIT APPLICATION
Permit No. `J "tea 2 /
DIRECTIONS: One completed application is required PER SIGN.
1. PROPERTY IDENTIFICATION NO.
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE.
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2. SITE ADDRESS: 3. ZONING:
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4. APPLICANT: (NAME (ADDRESS) (PHONE)
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5. OWNER: (NAME) (ADDRESS) (PHONE)
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6. TYPE OF SIGN: (Please circle)
a. TEMPORARY: Balloon Sign Banner Sign Construction Sign Off - Premise Directional Sign Portable Sign
Streamers and Pennants Street Banner / Tempos�'r�ign
PROPOSED DISPLAY DATES: From: l? II Ta: �2 05/ D
b. PERMANENT: Awning Sign Lake Service Sign Marquee Sign Freestanding Sign Menu Board Sign
On- Premise Directional Sign Permanent Window Sign Subdivision Identification Sign Wall Sign
7. SIGN DIMENSIONS:
8, TOTAL WALL AREA:
(Total area) (Height) (Width) (Depth)
9. PERCENT OF WALL COVERED BY SIGNAGE:
32 /r p
10. TYPE OF CONSTRUCTI
11. EsTImATED vALUE OF SIGN:
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12. COMPLETION DATE:
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A sign plan must accompany this application. Please attach a scaled elevation drawing of the total building front to
which the sign is to be affixed, accurately locating the sign.
If the sign is freestanding, attach a scaled site plan showing the exact setbacks of the sign.
The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height.
I hereby certify that I have famished information on this application, which is, to the hest of my knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above - mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this fit. for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to perform needed i 'e
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SIGNATURE OF PROPERTY OWNER/AGENT DATE
This Application becomes your Sign Permit when approved.
FOR ADMINISTRATIVE USE ONLY:
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Permit Fee $ (Note: Permit fee is se[ at time of application according to approved schedule.)
CITY PLANNER OR DESIGNEE ATE
This is to certify that the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document, by the City Planner or designee constitutes compliance with the Sign Ordinance.
/ when _signed
Special Conditions: "/ �y f T an ot e�se � /9r'I�nq /OT
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24 flour Notice for All InspectionsI,
447.4230 from 9:00 a.m. - 10:00 a.m.
h:kemplateslsignform.doc
Scott County, MN
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L drawing is noither a legallyrer.had map nor s survey and is not
ded to be used as one. This drawing is a compiltion of records,
ation, and data located in various city countyand state offices, and
sources ffecting the area shown, and is to be used for reference
ses only. Sc01f County is not responsible for any inaccuracies herein
ined. If discrepancies era found, please contact the Scott County
yors Office.
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Map Scale
1 inch = 114 feet
Map Date
11/19/2008
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